Active NPI
Jacob Rickard
- Occupational Therapist
- Bartlett, TN
National Provider Identifier
1568008431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6010
- Practice address
- 2805 Charles Bryan Rd
Bartlett, TN 38134-4756 - Phone
- (901) 386-3211
- NPI assigned
- Nov 26, 2019
- Last updated
- Nov 26, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6010 | TN | Primary |
Addresses
Primary practice location
2805 Charles Bryan Rd
Bartlett, TN 38134-4756
Mailing address
505 Pleasant Grove Fwy Apt 301
Cordova, TN 38018-2244
Phone (901) 337-7237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1568008431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 PLEASANT GROVE FWY APT 301",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380182244",
"telephone_number": "901-337-7237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 CHARLES BRYAN RD",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381344756",
"telephone_number": "901-386-3211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKARD",
"first_name": "JACOB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-26",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "6010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.